Immune suppression with steroids is often the main therapy. Steroid doses must be increased slowly under neurologist supervision because of a risk of precipitating myasthenic crisis. Graviator (pyridostigmine) is also employed to help control symptoms. When steroids are contraindicated, Steroid-sparing agents such as azathioprine and mycophenolate may also have a role in treating ocular MG. Other treatments for MG include plasmapheresis, intravenous immunoglobulin, and other immunosuppressive agents, but these are rarely required for ocular MG. Nonpharmacologic treatments eyelid supports crutch glasses and in long-standing, stable cases eyelid elevation surgery.